中华护理杂志 ›› 2025, Vol. 60 ›› Issue (10): 1265-1269.DOI: 10.3761/j.issn.0254-1769.2025.10.018

• 疑难重症护理 • 上一篇    下一篇

1例外伤后脑脊液鼻漏并发炭疽性脑膜炎患者的护理

闫春林(), 刘丽娟, 王力明, 王文涛()   

  1. 252600 山东省聊城市第二人民医院护理部(闫春林),重症医学科(刘丽娟,王力明,王文涛)
  • 收稿日期:2024-07-09 出版日期:2025-05-20 发布日期:2025-05-13
  • 通讯作者: 王文涛,E-mail:287474031@qq.com
  • 作者简介:闫春林:女,硕士,主管护师,E-mail:623249786@qq.com

A nursing case report of a patient with anthrax meningitis caused by cerebrospinal fluid rhinorrhea post-trauma

YAN Chunlin(), LIU Lijuan, WANG Liming, WANG Wentao()   

  • Received:2024-07-09 Online:2025-05-20 Published:2025-05-13

摘要:

总结1例外伤后脑脊液鼻漏并发炭疽性脑膜炎患者的护理经验。护理要点:严格落实隔离与医院感染防控措施;全程规范应用抗菌药物,做好抗菌药物相关性腹泻的预防与管理;关注患者营养状态,制订个体化营养支持方案;实施精细化气道护理,预防肺部并发症;加强病情观察,及时识别颅内出血;以患者和家庭为中心,全程心理赋能。经过66 d的精心治疗及护理,患者痊愈出院,电话随访2个月,恢复良好。

关键词: 炭疽, 脑膜炎, 感染, 危重症护理

Abstract:

To summarize the nursing experience of a patient with anthrax meningoencephalitis caused by cerebrospinal fluid rhinorrhea post-trauma. Nursing points include strict implementation of isolation and hospital infection prevention and control measures;to standardize the use of antibiotics throughout the process to prevent and manage antimicrobial-related diarrhea;to pay attention to the nutritional status of patients and develop individualized nutritional support programs based on evidence;to implement refined airway care to prevent pulmonary complications;to strengthen disease observation,identify intracranial hemorrhage in time;to provide patient and family-centered psychological empowerment in the whole process. After 66 days of careful treatment and nursing care,the patient recovered and was discharged. A follow-up visit after 2 months of discharge showed a good recovery.

Key words: Anthrax, Meningitis, Infection, Critical Care